H.R. 2436 (103rd): To amend title XVIII of the Social Security Act to include services provided by interns and residents under any medical residency training program approved by the Accreditation Council for Graduate Medical Education in determining the amount of payment to hospitals under part A of the medicare program for the indirect costs of medical education.

To amend title XVIII of the Social Security Act to include services provided by interns and residents under any medical residency training program approved by the Accreditation Council for Graduate Medical Education in determining the amount of payment to hospitals under part A of the medicare program for the indirect costs of medical education.

IN THE HOUSE OF REPRESENTATIVES

JUNE 16, 1993

Mr. PAYNE of Virginia introduced the following bill; which was referred to the Committee on Ways and Means

A BILL

To amend title XVIII of the Social Security Act to include services provided by interns and residents under any medical residency training program approved by the Accreditation Council for Graduate Medical Education in determining the amount of payment to hospitals under part A of the medicare program for the indirect costs of medical education.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

(a) IN GENERAL- Section 1886(d)(5)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)) is amended by adding at the end the following new clause:

‘(v) In determining such adjustment, the Secretary shall count services of interns and residents under a medical residency training program that is conducted at a setting other than the hospital, but only if--

‘(I) the hospital incurs all, or substantially all, of the costs of the training program;

‘(II) the hospital has entered into a written agreement with the entity at which the training program is conducted regarding the conditions under which the services are furnished and the amount of payment (if any) by the entity to the hospital for the services;

‘(III) interns and residents enrolled under the program are directly involved in providing services to patients; and

‘(IV) the training program is approved by the Accreditation Council for Graduate Medical Education.’.

(b) EFFECTIVE DATE- The amendment made by subsection (a) shall apply to cost reporting periods beginning on or after October 1, 1993.